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Organization

JESSICA RIDGWAY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA RIDGWAY LPC (OWNER)
(856) 333-1340
Entity
Organization

Contact information

Practice address
53 S MAIN ST, MEDFORD, NJ 08055-2442
(856) 333-1340
Mailing address
53 S MAIN ST STE E, MEDFORD, NJ 08055-2442
(856) 333-1340

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
03/09/2020
Last updated
03/09/2020
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